循证护理干预对重型颅脑损伤患儿生活质量与预后的影响

Effect of evidence-based nursing intervention on quality of life and prognosis in children patients with severe craniocerebral trauma

目的探讨循证护理干预对重型颅脑损伤患儿生活质量及预后的影响。方法选取2017年1月至2018年12月在我院进行治疗的70例重型颅脑损伤患儿作为研究对象,随机将其等分为对照组及观察组,对照组实施常规护理,观察组实施循证护理。比较两组患儿清醒时间(从损伤昏迷到清醒所用时间)、生活质量及并发症发生率。结果观察组患儿清醒时间短于对照组,差异有统计学意义(P<0.05);观察组KPS评分明显优于对照组(P<0.05);患儿出院后1个月,其生活质量均有明显提高,且观察组患儿各项生活质量评分均明显优于对照组(P<0.05);观察组患儿出现呃逆、尿潴留、腹胀、腹泻等并发症发生率明显低于对照组(P<0.05)。结论对小儿重型颅脑损伤患儿实施循证护理干预,能够有效提高患儿生活质量及改善预后,同时能够有效降低其并发症发生率,值得推广应用。

Objective To investigate the effect of evidence-based nursing intervention on quality of life and prognosis in children patients with severe craniocerebral trauma.Methods To select 70 cases of children patients with severe craniocerebral trauma who were treated in our hospital from January 2017 to December 2018 as a study object.They were randomly divided into control group and observation group.The control group received routine nursing,the observation group was given evidence-based nursing.The awake time(time from trauma coma to awake),quality of life,and the incidence rate of complication were compared between the two groups.Results The awake time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The KPS score in the observation group was obviously better than that in the control group(P<0.05).One month after discharge,the quality of life of the children patients was significantly improved,and the quality of life scores of the children patients in the observation group were significantly better than those of the control group(P<0.05).The children patients in the observation group developed hiccups,urinary retention,abdominal distension,diarrhea,etc.,this type of incidence of symptoms was significantly lower than those of the control group(P<0.05).Conclusion Evidence-based nursing intervention for children with severe craniocerebral trauma could effectively improve the quality of life and improve the prognosis of children,and could effectively reduce the incidence of complications,which was worth popularizing and applying.